Individual provider Active NPI

Christina Marie Faccinto-Mayer, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1851445647
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
500 Issued in NV
Practice address
1320 E Pebble Rd
Suite 100
Las Vegas, NV 89123-3105
Phone
(702) 818-3100
Fax
(702) 485-6085
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 500 NV Primary

Addresses

Primary practice location

1320 E Pebble Rd
Suite 100
Las Vegas, NV 89123-3105

Mailing address

1320 E Pebble Rd
Suite 100
Las Vegas, NV 89123-3105
Phone (702) 818-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
500NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Faccinto and Mayer Eye Care P.C. Optometrist CurrentSince Dec 1, 2007 Accepting new patients

Locations

62 N Pecos Rd
Ste C
Henderson, NV 89074
Phone (702) 433-3355

1320 E Pebble Rd
Ste 100
Las Vegas, NV 89123
Phone (702) 818-3100

850 W Empire Mall
Sioux Falls, SD 57106
Phone (605) 361-4348

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1851445647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E PEBBLE RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233105",
            "telephone_number": "702-818-3100",
            "fax_number": "702-485-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E PEBBLE RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233105",
            "telephone_number": "702-818-3100",
            "fax_number": "702-485-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCINTO-MAYER",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.